Claims and Program Representative
US Government Jobs - Other Agencies
Claims And Program Representative
As a Claims and Program Representative, you will:
- Handle calls through the Nationwide Toll-Free Service (NTFS) which may come from any area within the network or from another network.
- Develop and maintain liaison with railroad employers, labor organizations, Congressional offices, Social Security Administration (SSA) offices, other Federal, State and local government agencies, private organizations, hospitals, nursing homes, etc., to promote understanding of the agency programs and services, encourage cooperation and provide training and foster positive public relations.
- Provide a full range of client services both within and outside the district office location regarding benefits available under the various programs administered by the Railroad Retirement Board (RRB).
- Conduct interviews to obtain information about an individual applicant's eligibility and entitlement to benefits under the retirement, survivor, disability, sickness and unemployment programs.
- Develop evidence necessary under the appropriate program regulations.
- Examine evidence and evaluates its validity and acceptability.
- Adjudicate claims for benefits and makes entitlement decisions.
- Compute and award payment of benefits.
- Conduct investigations, including sensitive and difficult interviews, to obtain additional information requested by headquarters or the district office.
- Answer questions and provides guidance on other programs such as Medicare, taxation of benefits, and Social Security entitlement.
Cut-Off Dates to receive applications will be used for this announcement. First Cut-Off Date: August 5, 2026 Closing Date: August 26, 2026 Starting Salary: Albany, NY $52,059-$82,787 Albuquerque, NM $51,007-$ 81,114 Baltimore, MD $57,736-$91,815 Billings, MT $50,460-$80,243 Boston, MA $57,150-$90,882 Buffalo, NY $52,766-$83,911 Charlotte, NC $51,585-$82,033 Des Moines, IA $50,869-$80,895 Detroit, MI $55,685-$88,510 Duluth, MN $50,460-$80,243 Harrisburg, PA $51,481-$81,686 Kansas City, MO $51,283-$81,553 Louisville, KY $50,460-$80,243 Milwaukee, WI $52,770-$83,918 Pittsburgh, PA $52,171-$82,965 Richmond, VA $52,710-$83,822 Salt Lake City, UT $50,460-$80,243 Seattle, WA $56,715-$90,190 Wichita, KS $50,460-$80,243
$175.3k - $322.9k
...global insurers deliver better customer experience while enabling claim professionals to adjudicate claims more effectively and... ...account teams to integrate ClaimBeacon into broader transformation programs where appropriate.Support expansion: Drive renewals, upsell/cross...ClaimsLocal area- ...CVS Health is hiring a Program Integrity Auditor to review medical and behavioral health provider records, ensuring correct coding and... ...regulator referrals as needed. The role requires 3-5 years of claims data review, CPT/HCPCS/ICD-10 coding expertise, and an active CPC...Claims
- ...and evaluates advertising, merchandising, and trade promotion programs, developing field sales action plans with an eye on cost containment... ...post-sale process and coordinate the resolution of potential claims, as well as carry out collection procedures for these sales....ClaimsLocal area
- ...client services regarding benefits available under the various programs administered by the RRB. This job announcement may be used to fill one or more vacancies. This is a bargaining unit position. This position is represented by the Council of AFGE Locals in the Board.ClaimsLocal area
$24k - $50k
..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...experience (outside sales or inside sales representative, retail sales associate, or... ...applicable licensing requirements and training programs. State Farm agents are independent contractors...ClaimsFull timeFor contractorsWork at office$18.5 per hour
...Customer Service Representative We're building a world of health around every individual... ...customers by helping with their benefits and claims to improve their health and well-being.... ..., retirement savings options, wellness programs, and other resources, based on...ClaimsHourly payFull timeWork at officeLocal areaRemote workRelocation package$38k - $75k
...Insurance Account Representative - State Farm Agent Team Member Successful State Farm Agent... ..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...applicable licensing requirements and training programs. State Farm agents are independent...ClaimsFor contractorsWork at officeLocal area- ...Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you... ...billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting...Claims
- ...knowledge of company return policies, exchange processes, and warranty claims to assist customers. Demonstrate a strong understanding of... ...email support; including proficient in computer systems and programs such as Microsoft office and CRM systems Maintain reliable attendance...ClaimsWork at officeLocal areaImmediate startWorldwide
- ...looking for a Technical Service and Care Representative to work out of our Salt Lake City, UT... ...processing of product returns and warranty claims. The successful candidate will be a... ...phone, email, or fax Use company sales programs and tools (Net Suite, Excel, MS Word,...ClaimsWork at office
- ...the outdoor through its sustainability program. Diversity is one of Salomon’s five values... ...and responsibilities described below represent the expectations of a senior level Ecomm... ...existing orders, process consumer warranty claims and spare parts requests to ensure...ClaimsWork at officeWork from home
$85.7k
...Senior Outside Sales Representative As a Senior Outside Sales Representative, you will develop... ...and effectively, and report potential claims Keep management informed of local... ...conditions Carry out sales and merchandise programs as directed, and recommend new items...ClaimsFull timeLocal areaFlexible hoursNight shift$18 per hour
...) contract Pharmacy Support Call Center Representative to join our team. In this position, you... ...fielding requests such as: card activation, program eligibility, explanation of program... ...years preferred) Experience in medical claim processing is a plus Bi-lingual (English...ClaimsHourly payFull timeContract workRemote workWork from homeShift work$70k - $80k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...Claims$25.25 - $31.25 per hour
...resolve any issues that may arise as it relates to disputes, or claims Act as liaison between operations and many corporate... ...and other performance-based incentives ~ Employee Assistance Program (EAP), wellness initiatives, and employee discounts Eligibility...ClaimsHourly payFor subcontractorWork at officeRemote work$57k - $76k
...We offer career opportunities where you can contribute and grow. Build your future with us Our Field Claims department is currently seeking field claims representatives to service the territory surrounding Salt Lake City, Utah. The candidate is required to reside within...Claims- ...engineers, scientists, digital innovators, program and construction managers and other... ...ManagementServe as the senior day-to-day representative to the client.Build trusted executive-level... ...risk.Support contract negotiations and claims management.Work with leadership on...ClaimsContract workFor subcontractorWork at officeLocal areaRemote workWorldwideFlexible hours
$70k - $75k
...Join Syneos Health as a Virtual Sales Representative At Syneos Health, we challenge the status quo, collaborate to deliver innovative solutions... ...potential patients. Qualify leads and follow up on claims-based alerts. Maintain accurate records in the CRM system....ClaimsLocal areaFlexible hours$46.99k - $122.4k
...community at a time. Position Summary The Program Integrity Auditor is responsible for the... ..., recoupment of funds or rebilling of claims, and referral to state regulators for... ...46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$40k
...Job Description As a Nielsen Field Membership Representative, you'll be the face of our company, recruiting households to participate... ...email with a nielsen.com domain. Be cautious of any outreach claiming to be from Nielsen via other messaging platforms or personal...ClaimsWork experience placementWork from homeNight shiftAfternoon shift- ...seeking highly motivated outside sales representatives with automotive experience to join our... ...benefits of adopting Freedom Warranty programs for their customers. You will be expected... ...there every step of the way—from quote to claim. Company Description Freedom...ClaimsContract work
$23 per hour
...Incentive Bonus ~ Paid Volunteer Day ~ Referral Incentive Program ~ Company Paid Life Insurance; and Short/Long-Term Disability... ...by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests....ClaimsFull timeTemporary workRemote workRelocation package$99k - $232k
...to design, develop, modify, and deploy software using proven programming concepts and practices. As a Manager, you are expected to lead... ...certifications and/or experience in Duck Creek policy, billing or claims preferred- Knowledge of P&C Insurance domain (Policy, Claims,...ClaimsFull timeH1b- ...procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of... ...to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and...ClaimsHourly payPart timeWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift
$40k - $75k
...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-... ...successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their...ClaimsHourly payFor contractorsWork at office- ...Technical Sales Representative Are you looking for a new challenge? Passionate about innovation? Want to work for a global company that... ...ensure customer satisfaction. Thoroughly investigate product claims in field, document and work with LATICRETE Technical Services...ClaimsFor contractorsWork experience placementWork at officeLocal areaFlexible hours
$26 per hour
...customer cases with intention—handling high-impact, sensitive, or retention-risk issues (product quality, safety escalations, damage claims) with empathy and precision Identify and elevate trends and patterns by monitoring recurring customer feedback, product issues, and...ClaimsHourly payLocal areaFlexible hours$55.06k - $95.05k
...real estate market. Position Overview We are currently seeking a Claims Specialist to join our team on a full-time, permanent basis.... ...team Proficient in Microsoft Office and other relevant software programs Must be able to pass a background check and have a clean...ClaimsPermanent employmentFull timeWork experience placementWork at officeLocal area- ...The Missionary Medical department is hiring a temporary Claims & Customer Solutions Representative.Join a mission-driven team that ensures missionaries... ...sick leave and 12 paid holidaysAward winning wellness program with the ability to earn 3 additional days off a year,...ClaimsTemporary workWork at officeRemote workWork from homeHome office
- ...things right the first time. You know that behind every accurate claim and resolved denial is an organization that can continue... ...You'll: Submit clean medical, laboratory, and specialty program claims Investigate and resolve claim denials and billing issues...Claims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims and Program Representative. Be the first to apply!
- remote medical claims processor Salt Lake City, UT
- claims assistant Salt Lake City, UT
- claim specialist Salt Lake City, UT
- medical insurance claims specialist Salt Lake City, UT
- claims consultant Salt Lake City, UT
- claims assistant workers compensation Salt Lake City, UT
- insurance claims processor Salt Lake City, UT
- claim examiner Salt Lake City, UT
- claims analyst Salt Lake City, UT
- claims processor Salt Lake City, UT

